PCI or CABG for Left Main Coronary Artery Disease

PCI or CABG for Left Main Coronary Artery Disease

To the Editor: In the EXCEL (Evaluation of XIENCE versus Coronary Artery Bypass Surgery for Effectiveness of Left Main Revascularization) trial (Nov. 7 issue), 1 Stone et al. report no significant difference in the 5-year composite outcome of death, stroke, or myocardial infarction among patients wi...

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Veröffentlicht in:The New England journal of medicine 2020-07, Vol.383 (3), p.290-294
Hauptverfasser: Taggart, David P, Gaudino, Mario, Lozano, Iñigo, Rondan, Juan, Vegas, Jose M, Lopez-Ayala, Pedro, Koechlin, Luca, Mueller, Christian, Kapoor, Saloni, Mulukutla, Suresh, Bakaeen, Faisal G, Svennson, Lars G, Stone, Gregg W, Serruys, Patrick W, Sabik, Joseph F
Format: Artikel
Sprache:eng
Schlagworte:
Cardiovascular disease
Cerebral infarction
Coronary artery
Coronary vessels
Drug delivery
Heart attacks
Heart diseases
Heart surgery
Implants
Myocardial infarction
Stents
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Zusammenfassung:To the Editor: In the EXCEL (Evaluation of XIENCE versus Coronary Artery Bypass Surgery for Effectiveness of Left Main Revascularization) trial (Nov. 7 issue), 1 Stone et al. report no significant difference in the 5-year composite outcome of death, stroke, or myocardial infarction among patients with stable left main coronary artery disease who underwent either percutaneous coronary intervention (PCI) with drug-eluting stents or coronary-artery bypass grafting (CABG). We have three fundamental concerns regarding these findings. First, the incidence of death from any cause was 13.0% in the PCI group and 9.0% in the CABG group (odds ratio, 1.38; 95% confidence interval . . .
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJMc2000645